Effect Of Different Surface Treatments And Application Times On Shear Bond Strength Between Polyetheretherketone And Composite Resin, Alper Ozdogan, Basak Topdagi

Journal of Dentistry Indonesia

Objective: To investigate the effect of various surface treatments and different application times on shear bond strength between polyetheretherketone and composite resin. Methods: A total of 110 disc-shaped polyetheretherketone specimens were randomly divided into 9 groups and 4 different surface treatments (control, sandblasting, tribochemical silica coating, sulfuric acid) were applied. The sandblasting, tribochemical silica coating, and sulfuric acid processes were performed 3 different times (10s, 15s, 20s). Then, the composite resins were applied to the treated surfaces of the polyetheretherketone specimens. The shear bond strength test and scanning electron microscopy analysis were performed. The data were statistically analyzed using …

Modified Maxillary Palatal Ramp Prosthesis To Guide Mandibular Deviation Following Segmental Mandibulectomy For Squamous Cell Carcinoma, Manu Rathee, Sujata Chahal, Maqbul Alam, Prachi Jain

Journal of Dentistry Indonesia

Benign or malignant tumor is one of the frequent causes of resection of the mandible. The extent and location of the tumor decides the mode of treatment of the neoplastic lesion. Surgical removal of oral neoplasm leads to an extensive resection of the mandible along with the associated structures. Objective: This case report describes the use of palatal ramp prosthesis to guide the mandible during movements and restore a stable occlusal relationship with an additional acrylic buccal pad to achieve partial esthetics. Case Report: A 30-years-old female patient reported with the inability to chew food following the mandibular resection of …

Evaluation Of Porcelain To Metal Bond Strength On Use Of Recast Nickel-Chromium Alloy, Prakash Manne, Kavya Ravuri

Manipal Journal of Medical Sciences

Purpose: The objective is to assess how the bond between metal and ceramic is impacted by recasting the base metal alloy. Materials and Methods: A total of 78 metal-ceramic specimens were created using beryllium-free nickel-chromium alloy from Dentalloy International Pvt Ltd. There were 26 specimens in each of the three groups, and they were all prepared differently. The first group was cast from 100% fresh alloy and served as the control. The second group was made by mixing 50% used (once cast) alloy and 50% fresh alloy. The third group was cast using 100% reused (once-cast) alloy. All of the …

Oral Health Of Completely Edentulous Patients During The Covid-19 Pandemic And Its Impact On Their Nutritional Status: A Pilot Study, Hayat Jaber, Elissa Haddad, Carole Abi Ghosn Yared, Jihad Fakhouri, Nada El Osta

International Arab Journal of Dentistry

The COVID-19 pandemic, declared by the WHO on May 2020, has forced governments around the world to adapt several restrictive measures causing difficulties of access to oral healthcare. In Lebanon, a lack of data on these difficulties and their consequences for completely edentulous people prompted the realization of a pilot study evaluating the impact of this pandemic on access to oral healthcare and on the oral health status, oral health-related quality of life (OHRQoL), and nutritional status of these individuals. The study was conducted at the Removable Prosthodontics Department of the Faculty of Dentistry at Saint-Joseph University of Beirut through …

Prosthetic Management Of Interruptive Mandibular Defects, Saloua Hamzaoui, Mohamed Azhari, Hasnaa Rokhssi, Majid Sakout, Oussama Bentahar

International Arab Journal of Dentistry

Mandibular substance loss is one of the most frequent acquired defects of the maxillofacial mass. Several etiologies have been described, the most frequent of which are tumours and traumas. The most commonly used prosthetic classification takes into consideration the bone continuity of the mandible, thus there are marginal defect mandibular substance preserving bone continuity and segmental defect with basal bone discontinuity. These bone defects lead to numerous functional complications (loss the dental occlusion, decreased chewing efficiency, lack of stalling during swallowing, phonatory disorder related to the change in the buccal resonance cavity) and aesthetic complications (facial asymmetry due to lateral …

Effect Of Impression Techniques On Soft Tissue Vertical Displacement In Removable Partial Denture. A Pilot Study, Christine Hanna, Nada El Osta, Jihad Fakhouri

International Arab Journal of Dentistry

Abstract Purpose: The purpose of this study was to evaluate the vertical displacement of soft tissue during different impression procedures using various spacing of the custom tray, and to determine which impression technique would allow the minimal movement. Material and Methods: 21 partially edentulous subjects were selected and enrolled in the study. Each one of them was subjected to four different impression procedures: three alginate impressions with different spacing of the custom tray and one composed with different impression materials, then casts were constructed. Light-curing acrylic occlusal platform was constructed on the primary model and perforated in 10 different points. …

Effect Of Different Polishing Systems On Surface Roughness And Color Stability Of Lithium Disilicate Ceramics, Mahmoud Al Ankily, Fatma Makkeyah

Dentistry

Objective: This study aimed to investigate the effect of two polishing systems on the surface roughness and color stability of lithium disilicate ceramic. Materials and Methods: Forty disc-shaped lithium disilicate samples were constructed and cemented into a cavity prepared onto the labial surface of freshly extracted bovine teeth; The samples were divided into four groups (10 samples per group); C: Control, SS: Scaling only, SE: Scaling followed by polishing using Eve Diapro lithium disilicate polishers, SD: Scaling followed by polishing using Diatech ShapeGuard ceramic polishing plus kit. The surface roughness was measured before scaling, after scaling and finally after the …

N Y State Dent J August-September 2022

The New York State Dental Journal

In the August-September 2022 issue, the reader will find the following feature articles:

• Maxillary Sinus Foreign Body From an Unusual Source: Provisional Prosthesis Material
• Antihypertensive Drug-induced Orofacial Angioedema: Case Reports
• An Overview of Maxillofacial Rehabilitation for the General Dentist

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

An Overview Of Maxillofacial Rehabilitation For The General Dentist, Vladimir Frias Dds, Ms

The New York State Dental Journal

The rehabilitation of the maxillofacial patient is mostly carried out in a multi-specialty treatment environment such as a comprehensive cancer center, where multiple specialists are available to treat the numerous concerns and complications that may occur. Many of these patients are seen by the maxillofacial prosthodontist at the same time as the other members of the team and maxillofacial rehabilitation can be treatment planned and performed expediently. Some patients, however, are treated without rehabilitation in mind and go years without appropriate referrals. A knowledge of the multiple types of prostheses available will allow the general practitioner to decide if a …

Critical Evaluation Of Failed Maxillary Resin Bonded: A Case Study, Yew Hin Beh, Azirrawani Ariffin

Journal of Dentistry Indonesia

Resin bonded bridge (RBB) is a conservative, medium to long-term restoration of missing teeth. A high rate of debonding was the main limitation in a clinically demanding situation. Objective: To highlight the critical evaluation in identifying the contributing factors leading to the failure of RBBs and avoiding as well as controlling such factors optimally prior to providing further rehabilitative treatment. Case report: This case illustrates a young patient who received resin bonded bridges to replace her missing lateral incisors. Unfortunately, she had issues with bridge debonding, in which one of the abutment teeth was extracted due to caries …

Fractal Analysis Of Subchondral Cyst At Mandibular Condyle Detected On Panoramic Radiograph In A Group Of Thai Population, Aloysius Putut Wijanarko, Preeyaporn Srimawong, Suchaya Pornprasertsuk-Damrongsri, Apirum Janhom

Journal of Dentistry Indonesia

Objectives: This study aimed to analyze subchondral cyst on the mandibular condyle using fractal dimension (FD) measurement on a panoramic radiograph. Methods: This retrospective study examined 15 patients aged 24 to 75 years who had undergone panoramic radiography and cone-beam computed tomography on both sides of the mandibular condyles, between January 2013 and November 2017, in the Oral and Maxillofacial Radiology Clinic, Dental Hospital, Mahidol University. These 15 patients, all of whom had a subchondral cyst on one side of the mandibular condyle, constituted both the study and control groups: the 15 affected sides constituted the study group, …

The Impact Of The Labial Flange And Artificial Teeth On Lip Support In Elderly Patients With Maxillary Complete Dentures, Aiemeeza Rajali, Nor Wati @ Nur Atikah Mustafa, Muhamad Zafir Ashman Zulkiflee, Ain Najihah Abd Rahman, Rohana Ahmad

Journal of Dentistry Indonesia

Both maxillary complete denture’s labial flange and anterior artificial teeth play important roles in re-establish major support for the upper lip of elderly patients. However, whether the labial flange can be removed and still perceived as aesthetic remain unclear. Objective: To determine the perception of young adults toward the effect of a labial flange and anterior teeth on lip support of an elderly with maxillary complete dentures. Methods: A total of 64 young adults were recruited to evaluate the lip support for facial aesthetics of 30 full-face photographs in 3 different states: with an original complete denture (CD), …

N Y State Dent J June-July 2022

The New York State Dental Journal

In the June-July 2022 issue, the reader will find the following feature articles:

• The Challenges are Many, but There’s Reason for Optimism
• Medication-Related Osteonecrosis of the Jaw: Important Clinical Considerations
• Retained Third Molars Protect Against Fractures of Mandibular Condylar Region
• Patient Recall in the Informed-Consent Process
• Clinical Report on Restoration of Patient with Immediate Loaded Maxillary Restoration Supported by Zygomatic/Endosseous Implants and Mandibular Prothesis Utilizing Three-implant Solution

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Evaluation Of Colour Reproduction Of Cad/Cam Lithuim-Disilicate Veneers Of Different Thicknesses And Translucency, Sahar H. Fikry, Tarek Salah Morsi, Mennatallah M. Wahba, Amr El-Etreby

Future Dental Journal

Background: With the increasing patients’ demand for a perfect smile, the call for highly aesthetic and yet minimally invasive veneers has surmounted. Objective: The aim of this study was to evaluate the colour of CAD/CAM lithium disilicate veneers fabricated in different thicknesses and different translucencies of the lithium disilicate blocks. Materials and Methods: Forty discs of lithium disilicate glass-ceramic (IPS e.max CAD) of shade A1 of both high and low translucency (HT, LT) were tested for their colour reproduction. HT and low LT blocks were cut in the form of plates of dimensions (12 x 14 mm) and of different …

Effect Of Abutments Design On Wear Of Locator Attachments In Implant Retained Mandibular Overdenture., Mahmoud Saleh Fayed, Medhat Sameh Abdelaziz, Hossam I. Nassar

Future Dental Journal

Purpose: The aim of this study is to compare the effect of abutments design on wear behavior of Locator attachments in implant-retained mandibular overdenture. Materials and Methods: Two epoxy models representing an edentulous mandible were used, two implants were placed in each model. Twenty-four locator attachments were used (twelve in each study group). Cycles of Insertion and removal were performed using a universal testing machine resembling 3 years of clinical use, then each abutment was scanned by scanning electron microscope (SEM) before and after insertion and removal cycles. Data were compared qualitatively using a specialized computer software Results: There was …

Effect Of Various Sintering Protocols On The Translucency Of Highly Translucent Cubic Zirconia, Kerolos Salah Mehany, Ashraf Hussein Sherif, Shereen Ahmed Nossair, Mona Hossam El-Din Mandour

Future Dental Journal

Aim of the study: This study was carried out to evaluate the effect of various sintering protocols on the translucency of highly translucent cubic zirconia. Materials and methods: A total of forty discs of two types of zirconia ceramics were used in this study. The specimens were divided into two main groups according to the type of zirconia; Group 1 (n=20): Cubic zirconia (DD Cube X2 98color) and Group 2 (n=20): Tetragonal zirconia (BioZX2color). Each group was subdivided into two subgroups, where 10 discs were per subgroup according to the sintering protocol. Cubic and tetragonal zirconia blanks of dimensions (98 …

Management Of Post Covid 19 Mucormycosis With Osteomyelitis In The Maxilla, New Combined Consequences Of The Pandemic. (Case Report)., Hussein El Charkawi Proffesor, Omar A. El Sharkawy

Future Dental Journal

ABSTRACT:

Aim: This case report aims to demonstrate among health providers the importance of timely surgical and prosthetic management procedures of patients who suffered from the newly combined clinical entity of post COVID 19 mucormycosis and osteomyelitis of the palate. Materials and methods: Elaborate advanced diagnosis of the patients including CBCT, MRI, CT, Pathology examination, 3Ds printing reconstruction of the whole skull and digital design of reconstructive mesh that support the prosthesis were carried out. The patients undergone modified infrastructure maxillectomy and immediate prosthetic obturation of the palatal defect that was replaced later by a delayed obturator. Results: Surgical eradication …

Comparison Between Two Different Attachment Caps Used In Locator Attachments Of Implant Supported Overdentures (In-Vitro Study), Hossam Eldein Faisal Haridy, Hebatalla Mahmoud El Afandy, Mohammed Farouk Abdalla, Ahmed Mohammed Osama

Future Dental Journal

Purpose: To compare different retentive cap material used in LOCATOR attachments, namely the nylon retentive cap versus PEEK retentive caps, and measure the loss of retention over a period of two years, through 2880 cycles of insertion and removal. Materials and methods: Two implants 3.8mm x 10.5mm were inserted into a clear epoxy resin cast, through a surgical guide, with the implants being 23mm apart. Two LOCATOR attachments with 5 mm gingival height were screwed to the implants, custom made nylon caps were fabricated as an exact replica of the PEEK retentive caps, then two dentures were constructed …

10-Minute Ebd: Are Neoplasms A Risk Factor For Peri-Implantitis?, Farah Safieddine Bs, Naama Sleiman Ms, Phd, Melanie E. Mayberry Dds, Ms-Hcm

The Journal of the Michigan Dental Association

This 10-Minute EBD column explores the potential association between neoplasms and the risk of peri-implantitis in patients with dental implants. A case study involving a patient with a history of an ossifying fibroma raises questions about the impact of neoplasms on implant success. The literature search, conducted on PubMed, reveals relevant insights. The evidence suggests that ossifying fibromas, particularly with augmentation, may pose a risk for peri-implantitis. However, the direct causative relationship between neoplasms and peri-implant pathology remains unclear. Other risk factors such as periodontitis, foreign bodies, and augmentation procedures are also discussed in the context of implant complications.

J Mich Dent Assoc June 2022

The Journal of the Michigan Dental Association

Monthly, The Journal of the Michigan Dental Association brings news, information, and feature articles to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this June 2022 issue, the reader will find the following original content:

• A cover feature on the MDA Public Education Campaign
• A 10-Minute EBD, "Are Neoplasms a Risk for Peri-Implantitis?"
• A feature on "The President’s Address to the House of Delegates"
• News you need: an Editorial, a Headquarters Report, Facts about MDA Peer Review, and regular department articles, Dentistry and the Law, Staff Matters, Advocacy, and component news …

Prevalence Of Temporomandibular Disorders Among Orthodontic Patients (Cross-Sectional Clinical Survey), Manar Souhail Youssef, Ahmad Tarabaih, Aly Osman

BAU Journal - Health and Wellbeing

Orthodontic treatment as a risk factor for the development of temporomandibular disorders (TMD) has been a controversy in literature. The aim of this study was to evaluate the prevalence of TMD, as defined in the Diagnostic Criteria (DC)/TMD Axis II, among orthodontic patients. A cross-sectional study (N=180) consisted of 3 groups: 60 control patients seeking orthodontic consultation, 60 patients undergoing orthodontic treatment for 3-5 months, 60 patients undergoing orthodontic treatment for 10-14 months. Patients answered a structured questionnaire that rated their oral parafunctions according to the Oral Behavior Checklist (OBC), pain intensity levels according to the Graded Chronic Pain Scale …

Evaluation Of Perceived Possible Outcomes In Patients Treated With Mandibular Distal Extension Partial Removable Dental Prostheses, Mohammed Shammas, Othman Wali, Renad Alamoudi, Reem Alharbi, Maryam Nasser, Lamar Zahran, Karunakar Shetty, Abdurahiman Vt

Journal of Dentistry Indonesia

Objectives: This study evaluated the perceived positive and negative general and oral health outcomes of patients after using mandibular distal extension partial removable dental prostheses (PRDPs) and assessed the effect of recall procedures on the treatment outcomes. Methods: A questionnaire comprising 20 items, pertaining to perceived positive and negative outcomes related to the patients’ perception scores after using mandibular distal extension PRDPs, was designed. The patients were recalled 1 week and 3 months after the insertion of the mandibular distal extension PRDPs. The perception scores were obtained, and the mean values calculated at 1 week and 3 months were compared …

Effect Of Splinting Implant Scan Bodies Intraorally On The Trueness Of Complete Arch Digital Impressions: A Clinical Study, Kawther Mahmoud Ali

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The purpose of this study was to investigate the effect of splinting scan bodies intraorally on the trueness and scan time of implant digital impressions of the edentulous arch.

Materials and Methods: Nineteen edentulous jaws undergoing fixed complete denture treatment with a minimum of 4 implants were selected for this study. Verified master casts of the patients’ edentulous jaws were scanned with a desktop laboratory scanner and scan bodies to obtain a reference (control) scan for each patient. Intraoral scan bodies were hand tightened on all the implants in the edentulous arch and an intraoral scan was …

Can Youtube Videos Be Helpful In Promoting Self-Performed Denture Hygiene?, Kubra Degirmenci, Serkan Saridag

Internet Journal of Allied Health Sciences and Practice

Purpose: The longevity and success of dentures depend on clinical factors and the appropriate application of various techniques as well as on patients’ denture hygiene. Recently, the Internet has become an attractive information source for individuals searching for answers to their questions on health-related subjects. The aim of this study was to evaluate the information provided by YouTube videos on denture hygiene and analyze their content in terms of scientific validity. Method: Various key words related to denture cleaning, hygiene, and care were used to search for videos on YouTube. Based on their scientific content, the included videos were classified …

Retention Loss Of Locator Attachment System Different Retention Caps For Two Implant Retained Mandibular Overdenture., Medhat Sameh Abdelaziz, Aya Fawzy, Rami Maher Ghali, Hossam I. Nassar

Future Dental Journal

Abstract

Purpose. The objective of this invitro study was to evaluate gradual loss of retention at different time intervals between four different colour coded retentive caps of locator R-TX attachment system through 3000 cycles resembling 3years of attachment usage.

Material and Methods. According to prosthetically driven implant placement, two implants were digitally planned and placed by 3D printed surgical stent in an epoxy model. Forty-eight mandibular complete dentures divided into four groups (12 dentures for each group) were constructed to compare Loss of retention between (12 pairs of locator R-TX each retention cap: zero retention, low retention, medium retention and …

Evaluation Of Strength Of Different Resin Materials Used In Overdenture, Mohamed Emam, Hesham E. Alam El Deen, Hamdy Abu El Fotoh, Ayman Fateen

Future Dental Journal

Introduction: Finding a suitable material that could be used to restore relatively small inter-arch spaces in which reasonable aesthetics as well as good functional strength could be achieved is a difficult process that requires good understanding of the clinical situation and precise management. Historically Metal used to offer the smallest possible thickness with excellent strength but lacks resiliency with poor aesthetics.

Aim of the study: This In-vitro study was conducted to compare two different aesthetic materials PEEK and ACETAL regarding their mechanical strength when used as Overdenture framework in a relatively small thickness.

Material and Methods: 120 specimens were …

Evaluation Of Incorporating Bracing Arm In Precision Attachment Unilateral Removable Partial Denture, Hussein El Charkawi, Aya Fawzy, Mohamed M. Dohiem

Future Dental Journal

ABSTRACT

Purpose: This Randomized Control Trial study aimed to compare between two designs of Precision Attachment Unilateral Removable Partial Denture, one conventional design and the other modified with bracing arm and mesial rest.

Materials and Methods: twenty male patients having Kennedy Class II mandibular edentulous ridges received the two designs in a split mouth study for a follow-up period of eighteen months. Probing Pocket Depth around abutment was measured. A standardized radiographic technique was used to evaluate bone height changes.

Results: The results showed insignificant pocket depth and bone height changes in the two groups.

Conclusion: Precision Attachment Unilateral Removable …

The Effect Of Thickness And Accelerated Aging On Opalescence Of Different Ceramic Materials, Omar Hussein Abdelbary, Marwa Mohamed Wahsh, Ashraf Hussein Sherif, Tarek Salah Morsi

Future Dental Journal

Purpose: The objective of the study was to evaluate the effect of ceramic material type and thickness on opalescence before and after accelerated aging. Materials and methods: 180 all-ceramic slices were divided into three groups (n=60) according to the ceramic material (InCoris TZI, Empress CAD HT, and Empress CAD LT). Each group was further subdivided into four subgroups (n = 15) according to their thickness (0.5 mm, 0.8 mm, 1 mm and 1.2 mm).). CIE Lab coordinates were measured for each slice against black and white backgrounds using intraoral spectrophotometer and OP was calculated. All specimens were subjected to …

10-Minute Ebd: Digital Scans Or Conventional Impressions: Which Results In Better Crowns?, Laura Tsu Dds

The Journal of the Michigan Dental Association

This 10-Minute EBD column critically evaluates the outcomes of digital scans versus conventional impressions in fabricating single-unit crowns, focusing on factors such as marginal and internal fit. Employing a PICO question and a literature search pathway via PubMed, the analysis includes systematic reviews and meta-analyses. Findings suggest that crowns from digital scans generally exhibit clinically acceptable marginal and internal fit, often outperforming conventional impressions. However, heterogeneity in study samples and methodologies contributes to varied results. While digital scans meet the standard of care, ongoing research is essential for a comprehensive understanding of the evolving landscape in digital prosthodontics.

ความสัมพันธ์ระหว่างสภาวะสุขภาพช่องปากและผลของการฟื้นฟูสมรรถภาพของผู้ป่วยโรคหลอดเลือดสมอง, ปัทมาภรณ์ พุ่มเกาะ

Chulalongkorn University Theses and Dissertations (Chula ETD)

วิทยานิพนธ์ฉบับมีวัตถุประสงค์เพื่อศึกษาความสัมพันธ์ระหว่างสภาวะสุขภาพช่องปากและผลของการฟื้นฟูสมรรถภาพของผู้ป่วยโรคหลอดเลือดสมองที่โรงพยาบาลจุฬาลงกรณ์ สภากาชาดไทย มีผู้ป่วยโรคหลอดเลือดสมองระยะฟื้นฟูที่กลับมาติดตามอาการในช่วง 3 เดือน ยินยอมเข้าร่วมโครงการวิจัยทั้งสิ้น 86 ราย ผู้ป่วยโรคหลอดเลือดสมองจะได้รับการตรวจสภาวะสุขภาพช่องปาก ทำการสัมภาษณ์ข้อมูลทั่วไป ร่วมกับการเก็บข้อมูลในเวชระเบียนของผู้ป่วย ใช้สถิติเชิงพรรณนาอธิบายลักษณะของผู้ป่วยโรคหลอดเลือดสมอง และใช้สถิติสหสัมพันธ์แบบเพียร์สันและสเปียร์แมนวิเคราะห์ความสัมพันธ์ระหว่างสภาวะสุขภาพช่องปากกับผลของการฟื้นฟูสมรรถภาพของผู้ป่วยโรคหลอดเลือดสมอง ที่ระดับนัยสำคัญ 0.05 สภาวะสุขภาพช่องปากประเมินจากจำนวนฟันธรรมชาติที่เหลืออยู่ จำนวนคู่สบฟันหลังและคะแนนแบบประเมินสภาวะสุขภาพช่องปากและฟันเทียมฉบับดัดแปลง ผลของการฟื้นฟูสมรรถภาพของผู้ป่วยโรคหลอดเลือดสมองจะประเมินจากการเปลี่ยนแปลงของคะแนนค่าความรุนแรงของโรคหลอดเลือดสมอง ผลการวิจัยพบว่าจำนวนฟันธรรมชาติที่เหลืออยู่และจำนวนคู่สบฟันหลังมีความสัมพันธ์อย่างมีนัยสำคัญทางสถิติกับผลของการฟื้นฟูสมรรถภาพของผู้ป่วยโรคหลอดเลือดสมองพบความสัมพันธ์เป็นแบบสหสัมพันธ์เชิงลบ สรุปผลการวิจัย จำนวนฟันธรรมชาติที่เหลืออยู่และจำนวนคู่สบฟันหลังมีความสัมพันธ์กับผลของการฟื้นฟูสมรรถภาพของผู้ป่วยโรคหลอดเลือดสมองโดยพบความสัมพันธ์มีทิศทางตรงกันข้าม ผู้ป่วยที่มีจำนวนฟันธรรมชาติและจำนวนคู่สบฟันหลังที่มากสัมพันธ์กับค่าความรุนแรงของโรคหลอดเลือดสมองตอนผู้ป่วยออกจากโรงพยาบาลที่มีค่าความรุนแรงน้อยกว่า ผู้ป่วยจึงมีอาการเริ่มต้นไม่รุนแรงส่งผลให้มีการเปลี่ยนแปลงความรุนแรงของโรคน้อยกว่า การดูแลสภาวะสุขภาพช่องปากให้อยู่ในสภาพดีและการเก็บรักษาฟันธรรมชาติสภาพดีไว้ให้ได้มากที่สุดอาจจะเป็นปัจจัยร่วมปัจจัยหนึ่งในการลดความเสี่ยงความรุนแรงของโรคหลอดเลือดสมอง